Oh as I’m pulling, the idea is you are pulling the skin up a little. Bifurcated it somewhat. A little of it to come down here. You do have swelling on the bottom part
but just because it is the first time us doing this. We will keep this one first see how that works. Just want to anchor it just a little. I’m not putting it tight cause its really just taping, like holding the tape down.Try to bend as best you can. I’ll go from fingertip to one of the
creases in his hand and I keep it consistent so next time, I did it this way
you know when I first did it, I’ll do it like this now, I’ll do it like this when
I reassess it. Good. Go, go, go, straight out that, oops. I”m glad it was not glass.
Or a real pumpkin, OK. Maintain that grip, good. He’s just as bad.
Straighten out that elbow, Straighten it out. Good. Keep in line with the whole edema
management we’re doing. Good, good, good We’re doing some
pumping by you grasping and releasing. I really do want it to be somewhat above
the level of the heart or elevated. Squeeze, good come back down. Let’s try the strawberry. Bring up it up,
good squeeze squeeze maintain that grip gogogogo and back down, good. Reach for the
pineapple straighten out that elbow extension, extension go, go, go and open.
And when you do it really exaggerate the movement so we get some real strong
pumping. Good squeeze squeeze squeeze go, go, go, go. Straighten out that elbow release,
release exaggerate that movement, beautiful. Squeeze it, squeeze it, squeeze
it ,maintained that grip, go-go-go reach, reach, reach, I got the arm, I got the arm, oops, that’s
ok that’s ok. Squeeze, squeeze, squeeze maintain that
grip good, straighten out the elbow now straighten it out, give me some tricep good.
Back down, good. Much better. We’re going to do what we
call some scapula mobilization where I just really grab your shoulder blade, I really come up and move it. If we’re going to try to
work on strengthening the arm we really have to pay attention to the shoulder
blade which just serve as a base of support for the arm. You know so if the
shoulder blade isn’t really mobile and you know, strong you are not
gonna get much out of that arm. If I were to let go can you hold it here? Tighten up all
these muscles at the same time. We’re gonna try to get a co-contraction.
You’re actually extending your arm pretty nicely. It’s not flopping down so I know you’re
engaging. Try to just do what you can to tighten up the shoulder and hold it up
here. Try to tighten everything up. This is what we call place and hold.
Trying to get the co-contraction. There that’s you , that’s you that’s you that’s you
that’s you, straighten out the elbow at the same time, nice. The other important thing is be able to
control it down so gravity doesn’t take it dow. Alright that’s the other part of it as
well. Nice and controlled good good good good this you’re really make this look easy.
Now while we’re up here, just give me good fist and a good open yes, just
pump it. Good we want to keep the edema going and
now that we got the tape on there by pumping gripping you’re actually using
your own muscles to pump that some of that edema out. And like i said this is like the best
position with the arm way up in the air and it just flowing down.